# A Vesicocutaneous Fistula Treated With Urinary Diversion, Negative Pressure Wound Therapy, and Time

## TL;DR

A 38-year-old patient with a bladder injury was successfully treated using non-surgical methods like urinary diversion and negative pressure therapy.

## Contribution

The paper presents a successful non-surgical treatment approach for a complex bladder fistula.

## Key findings

- Urinary diversion and negative pressure therapy resolved the fistula without further surgery.
- The patient achieved full clinical and radiological recovery.
- Non-surgical techniques can be effective for persistent bladder leaks.

## Abstract

A 38-year-old motor vehicle accident victim presented for acute urinary retention due to a clogged Foley catheter, which was inserted two weeks prior during surgery for pelvic and spine fixation and extra-peritoneal bladder rupture. Imaging studies revealed persistent bladder leaks despite primary and, later, secondary surgical repair. A combination of novel non-surgical techniques, that is, urinary diversion, negative pressure dressings, and waiting proved beneficial in our case, and led ultimately to complete clinical and radiological resolution of the fistula.